| NPI | 1558910083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95253537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177791) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2022-07-14 |